Active NPI
Sharon R Staber, LMFT, APPC
- Marriage & Family Therapist
- Oxnard, CA
National Provider Identifier
1871996801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT112888
- Practice address
- 2055 Saviers Rd
Suite a
Oxnard, CA 93033-3608 - Phone
- (805) 483-2253
- NPI assigned
- Oct 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT112888 | CA | Primary |
| Professional Counselor | 101YP2500X | APPC2305 | CA |
Addresses
Primary practice location
2055 Saviers Rd
Suite a
Oxnard, CA 93033-3608
Mailing address
2055 Saviers Rd
Suite a
Oxnard, CA 93033-3608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871996801 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APPC2305 | CA | MD | Professional Counselor |
| LMFT112888 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Treatment Centers, LLC | Past | Accepting new patients | |
| Aegis Treatment Centers, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Oxnard, CA
- NPI 1740626597
-
- Methadone Clinic
- Canoga Park, CA
- NPI 1831601764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1871996801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 SAVIERS RD",
"address_2": "SUITE A",
"city": "OXNARD",
"state": "CA",
"postal_code": "930333608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 SAVIERS RD",
"address_2": "SUITE A",
"city": "OXNARD",
"state": "CA",
"postal_code": "930333608",
"telephone_number": "805-483-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STABER",
"first_name": "SHARON",
"middle_name": "R",
"credential": "LMFT, APPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-05",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT112888",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APPC2305",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1871996801",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.